2026 NPPES data Hematology & Oncology Physician NPI 1528068020 M.D.
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SAMER BALLOUZ, M.D.

Hematology & Oncology Physician in ROYAL OAK, Michigan. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 255 beneficiaries · Hematology & Oncology Physician avg: 847
Generic prescribing
73%
generic claims · 27% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$525
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SAMER BALLOUZ, M.D. is a Hematology & Oncology Physician ([object Object]) practicing in ROYAL OAK, Michigan with a Medicare Part D prescribing footprint of 2K claims across 255 beneficiaries — 27% brand-name prescribing . Industry payments of $525 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SAMER BALLOUZ, M.D. filed 1,539 Medicare Part D claims in 2023 across ROYAL OAK, Michigan. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SAMER BALLOUZ, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SAMER BALLOUZ, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 07/26/2005

NPI 1528068020

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,215 US NPIs in this specialty

Medicare Part D claims

1,539 82% vs specialty avg

2023 prescription claims

Specialty avg: 847

Specialty distribution in Michigan

How Hematology & Oncology Physician compares to other specialties among Michigan providers

Michigan providers

Hematology & Oncology Physician share within Michigan

1. Hematology & Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology & Oncology Physician share within Michigan

Specialty board-certification context

Estimated specialty board-certified rate — Hematology & Oncology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Hematology & Oncology Physician ABMS/AOA estimate

Est. board-certified rate (Hematology & Oncology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Hematology & Oncology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SAMER BALLOUZ, M.D. is a Hematology & Oncology Physician provider practicing in ROYAL OAK, Michigan, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1528068020. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SAMER BALLOUZ, M.D. appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding M.D. credentials at 3577 W 13 MILE RD, ROYAL OAK, MI, 48073, with a listed phone of (248) 551-2446. NPI 1528068020 was issued on 07/26/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALLOUZ most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,539 prescription claims written by this provider, covering 255 Medicare beneficiaries and totaling roughly $4.9 million in drug spend, split 27% brand-name and 73% generic by claim count, with an opioid prescribing rate of 13.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

3577 W 13 MILE RD
ROYAL OAK, MI 48073

Provider Details

NPI 1528068020
Specialty Hematology & Oncology Physician
Credentials M.D.
Gender Male
NPI Issued 07/26/2005

Hospital and facility affiliations

Facilities where SAMER BALLOUZ, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES
FARMINGTON HILLS, MI
MICHIGAN HEALTHCARE PROFESSIONALS PC
FARMINGTON HILLS, MI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for SAMER BALLOUZ, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$525

Largest payer

AstraZeneca Pharmaceuticals LP

Most common payment type

Consulting Fee

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Michigan MI-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 — they are NOT specific to SAMER BALLOUZ, M.D.. To verify SAMER BALLOUZ, M.D.'s current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

SAMER BALLOUZ, M.D. — brand share 27.0%
Specialty average (est.)

27% brand-name claims vs 73% generic, on 1,539 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,539
Total Claims
$4.9M
Total Drug Cost
255
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,896
Total Day Supply
53,040
Brand vs Generic
27% brand / 73% generic
Brand Drug Cost
$4.5M
Generic Drug Cost
$463K
Opioid Claims
206 (13.4% rate)
Antibiotic Claims
36

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
2.40
Gender Split
60% female / 40% male
Age Distribution
<65: 31, 65-74: 115, 75-84: 86, 85+: 23

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Hydroxyurea
110
Letrozole
110
Anastrozole
107
Prednisone
102
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
101
Xtandi
Enzalutamide
60
Abiraterone Acetate
56
Ibrance
Palbociclib
54
Oxycodone Hcl
54
Eliquis
Apixaban
43

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Hematology & Oncology Physician Overview

How SAMER BALLOUZ, M.D. fits within the Hematology & Oncology Physician landscape nationally.

11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider

SAMER BALLOUZ, M.D.'s 1,539 claims are above the specialty average of 847.

Nearby Hematology & Oncology Physician Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as BALLOUZ.

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SAMER BALLOUZ, M.D.'s specialty?
SAMER BALLOUZ, M.D. specializes in Hematology & Oncology Physician and practices in ROYAL OAK, Michigan. Credentials: M.D..
How much does SAMER BALLOUZ, M.D. prescribe under Medicare Part D?
In 2023, SAMER BALLOUZ, M.D. wrote 1,539 Medicare Part D claims totaling $4.9M in drug costs for 255 beneficiaries.
Where is SAMER BALLOUZ, M.D. located?
SAMER BALLOUZ, M.D. is located at 3577 W 13 MILE RD, ROYAL OAK, MI, 48073. Phone: (248) 551-2446.
What is SAMER BALLOUZ, M.D.'s NPI number?
SAMER BALLOUZ, M.D.'s National Provider Identifier (NPI) is 1528068020, issued on 07/26/2005.
Does SAMER BALLOUZ, M.D. prescribe more brand-name or generic drugs?
SAMER BALLOUZ, M.D.'s prescribing is 27% brand-name and 73% generic drugs by claim count, with $4.5M in brand drug costs.
Does SAMER BALLOUZ, M.D. prescribe opioids?
Yes, SAMER BALLOUZ, M.D. had 206 opioid claims in 2023 with an opioid prescribing rate of 13.4%.
How many Hematology & Oncology Physician providers are there in the US?
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does SAMER BALLOUZ, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SAMER BALLOUZ, M.D.'s most frequently prescribed drugs include Hydroxyurea, Letrozole, Anastrozole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SAMER BALLOUZ, M.D. accept Medicare?
SAMER BALLOUZ, M.D. appears in CMS Medicare data with 1,539 Part D claims and 255 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SAMER BALLOUZ, M.D.'s credentials?
SAMER BALLOUZ, M.D.'s NPI is 1528068020 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology